Allegations1 substantiated · 4 unsubstantiated · 0 unfounded
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(i)(1)(A)(B)(C)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (i) Facilities shall have signal systems which ...criteria: (1) All facilities licensed for 16 or more and all... separate floors or ... have a signal system which shall...(A) Operate...(B) Transmit...(C) Identify...unit -This requirement is not met as evidenced by: Based on interviews, the Executive Director did not comply with the regulation cited above by not ensuring that the call pendants were working properly at all times and not providing care to residents’ in a timely manner which poses a potential health and safety risk to persons in care.
Official plan of correction
ED agreed to continue to monitor the system for the call pendants systems, alert all parties of malfunctions, review regulation, provide in-service training to all staff, and submit a copy of training with staff signatures to CCLD by POC.
Deadline recorded: Mar 18, 2026. A deadline is not proof that correction was completed.
Deficiency Dismissed Type B 03/18/2026 Section Cited CCR 87303(i)(1)(A)(B)(C)